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    1 Application Form

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    Krishna Tiwari
    This document is an application form for graduate studies. It requests personal information such as name, date of birth, nationality, contact details, as well as education history and English proficiency scores. Applicants must also provide address details and emergency contact information. The form certifies that all information and documents submitted are accurate and acknowledges the university's policies regarding admission and fees.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    1 Application Form

    Uploaded by

    Krishna Tiwari
    15 views2 pages
    This document is an application form for graduate studies. It requests personal information such as name, date of birth, nationality, contact details, as well as education history and English proficiency scores. Applicants must also provide address details and emergency contact information. The form certifies that all information and documents submitted are accurate and acknowledges the university's policies regarding admission and fees.

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    1 Application form

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    This document is an application form for graduate studies. It requests personal information such as name, date of birth, nationality, contact details, as well as education history and English proficiency scores. Applicants must also provide address details and emergency contact information. The form certifies that all information and documents submitted are accurate and acknowledges the university's policies regarding admission and fees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    1 Application Form

    Uploaded by

    Krishna Tiwari
    This document is an application form for graduate studies. It requests personal information such as name, date of birth, nationality, contact details, as well as education history and English proficiency scores. Applicants must also provide address details and emergency contact information. The form certifies that all information and documents submitted are accurate and acknowledges the university's policies regarding admission and fees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    GRADUATE STUDIES

    APPLICATION FORM
    PLEASE COMPLETE THE APPLICATION FORM
    ADMISSION NUMBER

    WHICH PROGRAM ARE YOU APPLYING FOR

    EXPECTED SEMESTER FOR REGISTRATION


    PHOTO

    1 PERSONAL INFORMATION

    TITLE Mr. Mrs. Ms.

    FIRST NAME MIDDLE NAME LAST NAME

    DATE OF BIRTH M/D/Y NATIONALITY RELIGION

    THAI CITIZEN I.D. NO. OR PASSPORT NO.

    MOBILE PHONE E-MAIL ADDRESS

    LINE ID

    2 EDUCATIONAL INFORMATION
    LEVEL DEGREE / INSTITUTION FIELD / BRANCH COUNTRY YEAR COMPLETED

    BACHELOR’S DEGREE

    MASTER’S DEGREE

    OTHER (SPECIFY)

    Note 1. The original and a copy of the


    IBT
    3 ENGLISH PROFICIENCY SCORE TOEFL IELT English score are required to submit
    PBT with the application form.
    Note 2. The applicant from the Non-English
    TEST YEAR TEST YEAR speaking countries has to sit for the
    AU English Proficiency Test in case
    of no IELTS or TOEFL document.

    4 ADDRESS DETAILS

    ADDRESS

    DISTRICT CITY

    COUNTRY ZIP / POSTAL CODE


    5 PERSON TO NOTIFY IN CASE OF EMERGENCY

    NAME - SURNAME

    CONTACT NO. E-MAIL ADDRESS

    6 WORK STATUS FOR OFFICE USE ONLY


    EMPLOYEE

    OWN BUSINESS
    ADMISSION FEES RECEIPT NO. AMOUNT
    OTHER (SPECIFY)

    COMPANY NAME / ORGANIZATION:


    ADMISSION SUBMISSION DATE
    POSITION:

    YEAR OF WORK EXPERIENCE (YEAR / MONTH(S)): ADMISSION OFFICER’S NAME

    CERTIFY OF ADMISSION DOCUMENTS: (Please check the appropriate box)

    Date to submit
    Bachelor’s Degree Certificate /Diploma Certificate (2 Copies) YES NO
    Master’s Degree Certificate (2 Copies) - PhD Applicants only YES NO
    Official Transcript (2 Copies) - Bachelors YES NO
    Official Transcript (2 Copies) – Masters (PhD Applicants only) YES NO
    Passport Copy (Intl.) / Citizen ID (Thai) (2 Copies) YES NO
    House Registration (2 Copies) - For Thai applicants only YES NO
    4 Photographs in Formal Attire (1 X 1 inch) YES NO
    English Proficiency Score: IELTS_______ TOEFL________ YES NO
    Non-Criminal Record Certificate (for some countries) YES NO
    Notarial Translation Certificate with stamp YES NO
    For Non English Documents

    I certify that the information and documents I have submitted along with this application is complete, up to date
    and accurate. I agree to allow the university to inquire information on the status of my application and submitted
    documents from my previous institution attended. I hereby acknowledge that Assumption University has the right to
    terminate my application if any of the above mentioned documents are proven to be incomplete, invalid, and
    inaccurate. As I am student of Assumption University, I must follow the registration and tuition fees of the program I
    have chosen through my overall degree.

    (________________________________)

    APPLICANT’S SIGNATURE

    DATE___________________________

    Note:
    1. If the applicant cannot submit the Bachelor’s Degree Certificate or Diploma Certificate on time, then a provisional certificate from the previous
    institution must have to be submitted as a temporary replacement. As soon as the original certificate is issued, it is the prior duty of the applicant
    to submit the document to the Graduate Admission Center.
    2. The applicants from the Non-English speaking countries has to sit for the AU English Proficiency Test in case of no IELTS or TOEFL document.
    3. During the admission period, the applicant must have to bring the original documents along with the copies. The original documents will be
    checked by the admission officer during the process.
    4. Admission fee and registration fee is non-refundable in case of failure to submit documents on time / document forgery.
    5. Applicants from certain Middle Eastern and African countries must submit a latest Non-Criminal Record Certificate
    6. English Translated certificates, diplomas and transcripts must be notarized by the Provincial Foreign Affair(s) Service Center

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